Individual
MISS JENNIFER LEIGH BARTLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
2516 SAMARITAN DR, SUITE E, SAN JOSE, CA 95124-4108
(408) 358-8223
Mailing address
2516 SAMARITAN DR, SUITE E, SAN JOSE, CA 95124-4108
(408) 358-8223
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
SL6311
CA
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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